| NPI | 1346652872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON E TAYLOR Owner 772-528-1842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7003) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |